Ashley provides individual therapy to adults, teens, and adolescents. She employs a client-centered approach that incorporates mindfulness-based practices, existential themes, and cognitive behavioral therapy for the following conditions and concerns. (There is also a Walk & Talk option which will be made available again once social distancing regulations are lifted for the COVID-19 pandemic). As always, your treatment will be tailored to your personal needs and experiences.
Abuse
Anger
Anxiety
Behavioral issues
Coping skills
Career counseling
Co-dependency
COVID-19 / quarantine struggles
Decision making
Depression
Divorce
Grief and loss
LGBTQ-affirming counseling
Life-adjustment issues
Loss of purpose/meaning in life
Parenting issues
Phase of life problems
Relationship problems
Self-esteem
Self-injury
Stress management
Trauma
What are my payment options?
We accept cash, check, money order, and credit card. We also work with select insurances, including:
Anthem / Medical Mutual / Optum (United Healthcare & UBH)
HIPAA Notice of Privacy Practices
THIS NOTICE IS REQUIRED BY LAW AND DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. YOU MAY REQUEST A COPY OF THIS FORM AT ANY TIME.
Clarity Counseling & Wellness, LLC is committed to maintaining client confidentiality. We will only release healthcare information about you in accordance with federal and state laws and within the ethics of the counseling profession. In the event that your information would be shared outside of the typical means as listed below (treatment, payment, and operations), you will be notified by your provider. This notice describes our policies related to the use and disclosure of your healthcare information. This includes the written records I keep of the treatment provided, which are required legally and ethically to maintain quality care. Your personal health information will be stored in your HIPAA-compliant confidential electronic health record. Any paper forms will be scanned into this file. Generally speaking, hard copies will be shredded once scanned in unless specified otherwise.
Legal Responsibilities of the Agency:
-Clarity Counseling & Wellness, LLC, is required by law to maintain confidentiality of your protected health information (“PHI”) that identifies you
-We are required to provide this notice of legal duties and privacy practices with respect to PHI, and to give you additional copies when requested
-We are required to follow the terms of this notice
Clarity Counseling & Wellness, LLC can change the terms of this notice, and such changes will apply to all information I have about you. Upon change of the notice, you will be notified and may request a copy of the updated policies at any time.
Responsibilities of the Client:
-You are responsible for carefully reviewing this information
-You are responsible for asking any questions you may have before signing
-You are responsible for requesting copies of this form if needed or desired
Uses and disclosures of your health information for the purposes of providing services: Providing treatment services, collecting payment, and conducting healthcare operations are necessary activities for quality care. State and federal laws allow us to use and disclose your health information for these purposes as defined below.
Treatment: We may need to use or disclose health information about you to provide, manage, or coordinate your care or related services. This may include those involved in your treatment (such as family, medical providers, or other individuals you have specified), consultants, and potential referral sources. This also includes use of emergency services, such as hospitals or other crisis resources if needed to promote safety and welfare. We may use your information to provide appointment reminders for your treatment if you have requested this service, and to the phone number you have provided for this purpose. Should your counselor consult with other professionals regarding your treatment, certain pieces of information may be shared in an effort to obtain reliable guidance as needed and all reasonable efforts will be maintained to protect your identity. We may also have your files transferred following the death or incapacitating illness of your provider. In these unforeseen circumstances, files will be transferred and held by area counselor Rebecca Dills, LISW, whom will contact all active clients upon receipt of their files.
Payment: This includes information needed to verify insurance coverage and benefits with your carrier, to process your claims as well as information needed for billing and collection purposes. We may bill the person in your family who pays for your insurance. We may also bill the person you have specified as financially responsible for your treatment. We may request to store a credit on file for payment of sessions, co-pay, co-insurance, and missed appointment fees.
Healthcare Operations: We may need to use information about you to review our treatment procedures and business activity. Information may be used for certification, compliance, licensing activities, audits/investigations, among others.
Summary of HIPAA Compliance as it relates to Telemental Health Services:
When delivering virtual services via the internet, telephone, or computer, or other electronic device, it is my responsibility to use the most optimal conditions for protecting privacy, and the client is instructed to do the same. This includes using a private location and private connection. HIPAA compliant telehealth software will be used for any virtual sessions by your provider at all times. For comprehensive information regarding the use of technology and therapy, please see the InformedConsent for Telemental Health and Electronic Communications form.
Other uses or disclosures of your information that do not require consent:
There are some instances where we may be required to use and disclose information for reasons outside the standard operating procedures listed above. While reasonable efforts to obtain your consent will be made, the following situations may require sharing your information even when consent is not received:
-You or your child, as the client, pose as a danger to one’s self or others
-You or your child, as the client, share information about any other type of threat to the safety of others
-Disclosure of or suspected child abuse, elder abuse, or abuse of a person deemed disabled or incompetent. This includes, but is not limited to: emotional/ psychological abuse, physical abuse, and sexual abuse.
-Disclosure of or suspected neglect of a child, elderly person, or person deemed disabled or incompetent.
-Upon receipt of a subpoena. If ordered by a judge in a court of law, your clinician may be required to release written records and/or provide testimony regarding your treatment. This may include but is not limited to: assessment & evaluation, diagnosis, progress notes, recommendations, treatment plan, correspondence, compliance, and attendance. You will be billed for your clinician’s time for the hours worked regarding all court-related matters.
-When reporting crimes committed on the premises, to comply with the duties of a medical examiner and/or coroner, or any specialized government operations as required by law.
Rights of the Client: You have the right to know when your information is being shared outside normal treatment operations and your provider will notify you of such. We may use the preferred contact method and address on file if not able to discuss in person.
-You have the right to request in writing that your information not be shared in any of these cases. We will let you know within 30 days if this can be honored. Requests made to: Clarity Counseling & Wellness, LLC / 304 Williams Street Suite N / Huron, OH 44839
-You have the right to access and obtain copies of your personal health information, with a few exceptions. You may request soft copies (to be delivered via your confidential patient portal) or hard copies, at no cost to you other than a nominal fee for printing. It is strongly encouraged that when obtaining this information, you meet with your provider to discuss the material so that any questions you may have can be answered promptly, and to avoid potential misinterpretation.
-Upon review, you have the right to request any changes be made. You may also request to add your own statement to the file which would accompany the original and amended documents, both of which would remain.
-You have the right to approve or reject requested disclosure to those previously deemed as part of your treatment. In emergency situations, consent may be obtained retroactively.
-You have the right to request limitations on information shared for normal operating procedures (treatment, payment, and healthcare operations). I will let you know if the request can be honored.
-You have the right to specify how I send your PHI to you, and to specify whether messages can be sent or left.
-You have the right to request a list of disclosures made outside normal operating procedures.
Any written request by the client will be addressed within 30 days of the date received.
The content of this website is for informational purposes only. This website is not a substitute forcounseling or the assistance of a trained mental health professional. It is for informational purposes only. If you, or someone you know is experiencing an emotional crisis or mental health emergency, please call the 24/7 Crisis Hotline: 1-800-826-1306 or Text 4HOPE to 741741. You may also call 9-11 or go to the nearest emergency room.
Providing personalized and effective mental health counseling to members of Erie County and surrounding areas
Services
Ashley provides individual therapy to adults, teens, and adolescents. She employs a client-centered approach that incorporates mindfulness-based practices, existential themes, and cognitive behavioral therapy for the following conditions and concerns. (There is also a Walk & Talk option which will be made available again once social distancing regulations are lifted for the COVID-19 pandemic). As always, your treatment will be tailored to your personal needs and experiences.
What are my payment options?
We accept cash, check, money order, and credit card. We also work with select insurances, including:
Anthem / Medical Mutual / Optum (United Healthcare & UBH)
HIPAA Notice of Privacy Practices
THIS NOTICE IS REQUIRED BY LAW AND DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. YOU MAY REQUEST A COPY OF THIS FORM AT ANY TIME.
Clarity Counseling & Wellness, LLC is committed to maintaining client confidentiality. We will only release healthcare information about you in accordance with federal and state laws and within the ethics of the counseling profession. In the event that your information would be shared outside of the typical means as listed below (treatment, payment, and operations), you will be notified by your provider. This notice describes our policies related to the use and disclosure of your healthcare information. This includes the written records I keep of the treatment provided, which are required legally and ethically to maintain quality care. Your personal health information will be stored in your HIPAA-compliant confidential electronic health record. Any paper forms will be scanned into this file. Generally speaking, hard copies will be shredded once scanned in unless specified otherwise.
Legal Responsibilities of the Agency:
-Clarity Counseling & Wellness, LLC, is required by law to maintain confidentiality of your protected health information (“PHI”) that identifies you
-We are required to provide this notice of legal duties and privacy practices with respect to PHI, and to give you additional copies when requested
-We are required to follow the terms of this notice
Clarity Counseling & Wellness, LLC can change the terms of this notice, and such changes will apply to all information I have about you. Upon change of the notice, you will be notified and may request a copy of the updated policies at any time.
Responsibilities of the Client:
-You are responsible for carefully reviewing this information
-You are responsible for asking any questions you may have before signing
-You are responsible for requesting copies of this form if needed or desired
Uses and disclosures of your health information for the purposes of providing services: Providing treatment services, collecting payment, and conducting healthcare operations are necessary activities for quality care. State and federal laws allow us to use and disclose your health information for these purposes as defined below.
Treatment: We may need to use or disclose health information about you to provide, manage, or coordinate your care or related services. This may include those involved in your treatment (such as family, medical providers, or other individuals you have specified), consultants, and potential referral sources. This also includes use of emergency services, such as hospitals or other crisis resources if needed to promote safety and welfare. We may use your information to provide appointment reminders for your treatment if you have requested this service, and to the phone number you have provided for this purpose. Should your counselor consult with other professionals regarding your treatment, certain pieces of information may be shared in an effort to obtain reliable guidance as needed and all reasonable efforts will be maintained to protect your identity. We may also have your files transferred following the death or incapacitating illness of your provider. In these unforeseen circumstances, files will be transferred and held by area counselor Rebecca Dills, LISW, whom will contact all active clients upon receipt of their files.
Payment: This includes information needed to verify insurance coverage and benefits with your carrier, to process your claims as well as information needed for billing and collection purposes. We may bill the person in your family who pays for your insurance. We may also bill the person you have specified as financially responsible for your treatment. We may request to store a credit on file for payment of sessions, co-pay, co-insurance, and missed appointment fees.
Healthcare Operations: We may need to use information about you to review our treatment procedures and business activity. Information may be used for certification, compliance, licensing activities, audits/investigations, among others.
Summary of HIPAA Compliance as it relates to Telemental Health Services:
When delivering virtual services via the internet, telephone, or computer, or other electronic device, it is my responsibility to use the most optimal conditions for protecting privacy, and the client is instructed to do the same. This includes using a private location and private connection. HIPAA compliant telehealth software will be used for any virtual sessions by your provider at all times. For comprehensive information regarding the use of technology and therapy, please see the Informed Consent for Telemental Health and Electronic Communications form.
Other uses or disclosures of your information that do not require consent:
There are some instances where we may be required to use and disclose information for reasons outside the standard operating procedures listed above. While reasonable efforts to obtain your consent will be made, the following situations may require sharing your information even when consent is not received:
-You or your child, as the client, pose as a danger to one’s self or others
-You or your child, as the client, share information about any other type of threat to the safety of others
-Disclosure of or suspected child abuse, elder abuse, or abuse of a person deemed disabled or incompetent. This includes, but is not limited to: emotional/ psychological abuse, physical abuse, and sexual abuse.
-Disclosure of or suspected neglect of a child, elderly person, or person deemed disabled or incompetent.
-Upon receipt of a subpoena. If ordered by a judge in a court of law, your clinician may be required to release written records and/or provide testimony regarding your treatment. This may include but is not limited to: assessment & evaluation, diagnosis, progress notes, recommendations, treatment plan, correspondence, compliance, and attendance. You will be billed for your clinician’s time for the hours worked regarding all court-related matters.
-When reporting crimes committed on the premises, to comply with the duties of a medical examiner and/or coroner, or any specialized government operations as required by law.
Rights of the Client: You have the right to know when your information is being shared outside normal treatment operations and your provider will notify you of such. We may use the preferred contact method and address on file if not able to discuss in person.
-You have the right to request in writing that your information not be shared in any of these cases. We will let you know within 30 days if this can be honored. Requests made to: Clarity Counseling & Wellness, LLC / 304 Williams Street Suite N / Huron, OH 44839
-You have the right to access and obtain copies of your personal health information, with a few exceptions. You may request soft copies (to be delivered via your confidential patient portal) or hard copies, at no cost to you other than a nominal fee for printing. It is strongly encouraged that when obtaining this information, you meet with your provider to discuss the material so that any questions you may have can be answered promptly, and to avoid potential misinterpretation.
-Upon review, you have the right to request any changes be made. You may also request to add your own statement to the file which would accompany the original and amended documents, both of which would remain.
-You have the right to approve or reject requested disclosure to those previously deemed as part of your treatment. In emergency situations, consent may be obtained retroactively.
-You have the right to request limitations on information shared for normal operating procedures (treatment, payment, and healthcare operations). I will let you know if the request can be honored.
-You have the right to specify how I send your PHI to you, and to specify whether messages can be sent or left.
-You have the right to request a list of disclosures made outside normal operating procedures.
Any written request by the client will be addressed within 30 days of the date received.
The content of this website is for informational purposes only. This website is not a substitute for counseling or the assistance of a trained mental health professional. It is for informational purposes only. If you, or someone you know is experiencing an emotional crisis or mental health emergency, please call the 24/7 Crisis Hotline: 1-800-826-1306 or Text 4HOPE to 741741. You may also call 9-11 or go to the nearest emergency room.
Providing personalized and effective mental health counseling to members of Erie County and surrounding areas